Question

Preoperative preparations for awake craniotomy.

Hint:

Proper preoperative preparation, including psychological support and patient education, is crucial to ensure patient cooperation during awake craniotomy.

Answer 1

Preoperative preparation for awake craniotomy involves both the physical and psychological preparation of the patient.
Step 1: Patient Evaluation:
1. Preoperative Imaging: Detailed imaging studies (MRI, CT) are performed to locate the tumor and assess its proximity to critical areas of the brain.
2. Neurological Assessment: A thorough neurological exam, including cognitive and motor function assessments, is necessary to identify baseline functions.
Step 2: Psychological Preparation:
1. Patient Education: The patient should be fully informed about the procedure, what to expect, and the importance of staying awake and responsive during the surgery.
2. Psychological Support: Many patients may feel anxious about being awake during the procedure, so providing psychological support and reassurance is crucial.
Step 3: Physical Preparation:
1. Anesthesia Consultation: A consultation with the anesthesia team is essential to determine the appropriate sedation level for the procedure.
2. Preoperative Fasting: The patient should fast for a prescribed period before surgery to minimize the risk of aspiration.